HomeMy WebLinkAbout2015-00901 - adv plan review CITY OF ORONO * Z 0 1 5 - 0 0 9 0 1 *
2750 KELLEY PARKWAY DATE ISSUED: 07/20/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1120 COX FARM RD
PIN : 27-118-23-31-0021
LEGAL DESC : SHADOWOOD FARM
: LOT 005 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 35,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$35,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00902
APPLICANT ADVANCED PLAN REVIEW 355.26
TOTAL 355.26
TONY SCHREMPP CONSTRUCTION LLC payment(s)
1450 81ST STREET CHECK 355.26
VICTORIA, MN 55386-
(952)443-2529
Minnesota State License#: BUIL-4357
OWNER
WAGENER,GREGORY&LAURA
1120 COX FARM RD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which reyuires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections aze
reques[ed in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date